急性颈髓损伤后低钠血症37例临床分析

The Clinical Analysis of 37 patients with Hyponatremia after Acute Cervical Spinal Cord Injury

目的:探讨急性颈髓损伤后低钠血症的治疗。方法:回顾性分析2008年1月-2010年12月收治的急性颈髓损伤后低钠血症患者37例的临床资料。结果:血钠在120-130 mmol/L的32例经补盐和限制水摄入量治疗2-3周后低钠症状改善;血钠<120 mmol/L的5例,治疗6-8周后恢复正常2例,死亡3例。结论:颈髓损伤后低钠血症发生率与损伤程度密切相关,及早发现并补充钠盐和控制液体量是有效的治疗方法;能量支持及维持胶体渗透压能提高疗效。

Objective： To explore the therapy of hyponatremia after acute spinal cord injury. Methods：The clinical data of 37 patients with hyponatremia after acute spinal cord injury from Jan 2008 to Dee 2010 were retrospectively analyzed. Results： The 32 cases ranged the serum sodium from 120-130 mmol/L recovered after limitation of water intake and appropriate salt intake for 2 to 3 weeks. The serum sodium in 5 cases lowed than 120mmol/L, 2 cases recovered after treatment 6 to 8 weeks and 3 cases died. Conclusion： The more serious the acute spinal cord injury, the higher the frequency of hyponatremia. Early detection and control of the sodium salt and add the amount of liquid is effective treatment, energy and support the maintenance of colloid osmotic pressure can enhance the effect.